Chapter 6 3. Terrible quacks

A nationally famous surgeon said in his monograph: Although he has practiced medicine for more than 50 years and has performed thousands of manual operations, every time he steps on the operating table, he is always a little nervous-because the operation has no size, no one. It has nothing to do with people's life safety and health. However, in reality, there are many people who are astonishingly courageous. Some people who do not have the qualifications for surgery, some hospitals and clinics that do not have the conditions for surgery dare to disembowel and disembowel them without fear, and take the patient's life as a trifling matter.Many people died because of it, and many people were disabled for life because of it.

"Yangcheng Evening News" reported such a tragedy in which a quack doctor performed an indiscriminate operation and killed a peasant girl—— On November 20, 1997, Queen Junhong, a farmer in Jiaxian County, Henan Province, who seldom went to the hospital, went to the Ciba Township Health Center in Jiaxian County accompanied by her parents and husband because of abdominal discomfort.Dr. He from the Department of Internal Medicine diagnosed it as "dry stool". After enema with soapy water, Wang passed out two pieces of hard stool. Early the next morning, when Wang Junhong's family was about to be discharged from the hospital, Peng, the deputy director of the health center, hurried over and said, "After consultation, Wang Junhong suffered from intestinal obstruction and needs a minor operation."

The next morning, Wang Junhong walked into the operating room by himself. Li Shuxin, a doctor from the Ciba Township Health Center in Jiaxian County, performed the operation, and Li Guoxi, an anesthetist, as his assistant, opened Wang Junhong's abdominal cavity. Li Shuxin, the chief surgeon, only has the qualifications of a doctor and has no experience in major operations.As an anesthesiologist, Li Guoxi worked as a technician from September 1995 to September 1997. At around 12 o'clock, Li Guoxi came out of the operating room and ordered Wang Junhong's family to fetch water from the well.So Wang Junhong's two younger brothers, two younger sisters, and his sister-in-law all ran out to fetch water. They brought the water to the door, and Li Guoxi carried the water in. It was even more inexplicable that the Wang family was blocked from the door.After Wang's family brought nearly 20 buckets of water, Wang Junhong's younger brother turned to the back of the operating room and looked through the rear window.

——This is not performing surgery, it is simply killing people alive! At around 2:00 in the afternoon, Li Shuxin came out of the operating room frowning. He spread his hands and said, "I couldn't find the disease for a long time. Later, I lifted the uterus and found a hard lump, like colon cancer. I stuck my fingers into the intestines." When I touched it, it turned out that the rectum had grown solid, and it seemed that an artificial anus was needed." But Wang Junhong's husband didn't believe what he said, and passed out two pieces of feces yesterday. Why did his rectum grow "solid" today?

It was not until 5:30 in the afternoon that the family members who had been waiting for 7 hours were allowed to enter the operating room.What kind of operating room is this!There was water all over the ground, and a bloody smell came to the face. There was only a briquette stove on the ground that was about to be turned off. At 5:40 p.m., Wang Junhong, who was carried out of the operating room by her family, recounted her seven-hour experience with difficulty in a weak voice. "I bled a lot. The doctor pulled out my stomach like a pig. The room was wet and cold. I almost froze to death. No one gave me a fire. I cried out for pain, but they wouldn't let me As soon as I breathed out, the chief surgeon said, "I will perform the operation on you, and the pain will disappear after I clench my teeth." I kept clenching my teeth, and then I didn't know anything about the pain."

The unsure father was anxious, so he went to Dean Peng: "Dean, how is my daughter's surgery?" "The operation is really beautiful! The doctors stood for seven or eight hours and invited them to a meal. Under normal circumstances, they still don't go!" At 8:30 that night, Wang Junhong's uncle came to see her. After seeing Wang Junhong's appearance changed a lot in one day, he was shocked and begged Li Shuxin for some blood transfusion.At this time, Li Shuxin, who was full of wine and food, wiped his oily mouth, and said abruptly: "This girl has cancer, and her intestines have been damaged by at least 60 cm. Even if it is cured, she can live for at least 3 months!"

Wang Junhong's father and uncle, who were overwhelmed by fright, immediately asked to be transferred to another hospital. "There is no cure anywhere, and there is no cure for cancer!" Li dropped this sentence. "Did you break something in my daughter's stomach?" "Don't make a fuss, we can't be transferred to the hospital now, we should rest after a day of exhaustion." The dean waved his hands impatiently and left the ward. At 12 o'clock in the night, Wang Junhong was dying. Her father and uncle pleaded with Li and Peng again. The two muttered in the yard for a while. Peng came to the ward and pulled off Wang Junhong's oxygen tube and the infusion needles on both wrists. , Said hurriedly: "The man is missed, you quickly pull him away, don't die here with us."

Wang Junhong's father, uncle and brother-in-law all knelt on the ground together: "Dean Peng, we beg you, please save her, she still has a daughter who just gave birth!" In the early morning of the 22nd, Wang Junhong, who was only 25 years old, passed away. She did not close her eyes until she died. On the morning of November 22, the Jia County Health Bureau and the Public Security Bureau jointly conducted an autopsy on the corpse.Cut off the gauze on Wang Junhong's body and found three incisions in her abdomen. The incision on the left side of her abdomen was as big as the mouth of a bowl and was not stitched. Round knife edge.Witnessing this situation, the people present all burst into tears.

Mr. Lu Xun once said: Quack doctors kill people.After seeing this case of medical malpractice, do we still need to explain too much? ! Some patients entered the hospital full of hope. After paying a large amount of medical expenses, the disease was not cured. On the contrary, due to the medical staff's negligence in diagnosis, treatment and care, they caused disabilities, tissue and organ dysfunction, and some even lost their precious lives. .These scenes of tragedies caused by the serious deviation of professional ethics and technical norms by medical workers make people wonder—— How far is legal protection in the face of medical malpractice?

On the afternoon of November 4, 1998, Wei Xin'er stopped breathing on the operating table of a provincial hospital in Hangzhou.This is something that Wei Xin'er, who will be 50 years old in a few days, was hit and broke a bone, no matter what, she could not have imagined it. According to reports, at around 7:20 am on November 2, Wei Xiner set off from home as usual and walked to the gate of Hangzhou No. 2 Middle School to take the factory bus.While passing through an intersection, he was hit by a bicycle coming from the same direction, causing severe pain in his left leg and knee.The other party was a woman who was also in a hurry to go to work.After the traffic police seized the bicycle, she was asked to send Wei Xiner to the nearest hospital "Zhe Er" for emergency treatment.Unexpectedly, the woman transferred Wei Xin'er to the emergency room of another provincial hospital in Hangzhou.

After Wei Xiner's 71-year-old mother answered the phone, she hurriedly notified her eldest daughter and younger son who were at work, and the two immediately asked for leave to go to "Zhejiang No. 2", but they were in vain.It took several twists and turns to find out that Wei had been sent to another hospital, and rushed to see that Wei had taken X-rays.At this time, the woman's mother came forward, claiming her surname was Mo, and she was the director of the blood center of this hospital.She said that in her own hospital, the medical conditions are better in all aspects.Wei's eldest sister followed Dr. Mo to the orthopedic ward with an X-ray.The director of the orthopedics department proposed to take another X-ray film, and later diagnosed a fracture of the knee of the left leg. The treatment plan was to have surgery first, then steel needles, and finally plaster. On November 3, Wei Xin'er underwent blood, stool, and urine tests. At 10:25 am on the 4th, Wei Xin'er entered the operating room.Wei's eldest sister asked about the anesthesia plan at the elevator entrance.Dr. Mo said that semi-anesthesia has less damage than general anesthesia, so of course semi-anesthesia is used. At 10:50, the doctor in the operating room came out and said, "The patient's condition is not very good. General anesthesia is needed, and the family members need to sign." Wei's elder sister signed the anesthesia immediately. Twenty minutes later, the doctor came out again and said: The patient is being rescued, and there is a heart problem.At this time, Dr. Mo hurried into the operating room.At 12:30, the anxious family members asked Dr. Mo to quickly invite doctors from "Zhejiang No. 1" and "Zhejiang No. 2" for consultation and rescue.Mo agrees to convey this opinion. An hour later, the director of the orthopedic department came out of the operating room and said that the patient was hopeless, and the family members entered the operating room.After a while, doctors from "Zhejiang No. 1" and "Zhejiang No. 2" arrived, but they were unable to recover.At 2:30 p.m., the emergency rescue was stopped. After Wei Xiner's death, the hospital told his family that he died accidentally under anesthesia. Wei's mother said: "The hospital said my daughter died of an anesthesia accident. I really can't figure it out. She only took 13 days of sick leave in 28 years of service. How can she just leave? The bicycle hit her leg. At most she was a lame person." , anyway, she is disabled. The operation was to open her leg, how could she be killed? Anesthesia accident, we can't figure it out!" A leader of the hospital said that the next day after the incident, the hospital repeatedly asked Wei's family members to do a medical appraisal.The hospital believes that accidental death from anesthesia is a scientific conclusion that can stand the test. However, Wei's family members think that the hospital's proposal cannot be considered: "The person died without the operation, and now he has to disembowel and use a knife on the dead body. , the identification results are often correct diagnosis and correct surgery. Who can guarantee the impartiality of the identification?" The unreasonable appraisal system and unfair appraisal reality have made the victims and their families lose confidence in protecting their rights and interests with the law, and the law has been shamed because of this! Later, the hospital proposed to give Wei's family a one-time financial compensation. "No amount of money can buy back my daughter's life." Wei's mother burst into tears, crying: "She didn't deserve to die on the operating table!" I hope that Wei Xin'er under the Nine Springs will die soon. I hope that such tragedies will never happen again! When treating a child at Zhongshan Hospital in Langzhong, Sichuan, it first diagnosed a brain abscess as a brain tumor, then cut off the cerebellum as a tumor, and then performed radiation therapy by mistake—this was disclosed by Guangzhou Daily on December 29, 1998 An incredible medical malpractice. His expression was sluggish, his walking was difficult, and he lay on the ground with a runny nose. This was Zhang Tao who had lost his cerebellum.Putting his palm up in front of him, he froze for a while, then shook his head timidly.People can't believe it, this is the smart kid who can count to 100 at the age of 4 and can add and subtract within 10? It all started on February 15th, 1998... That day, Zhang Tao, who had been suffering from otitis media and had been suffering from an upper respiratory tract infection, suddenly had a severe headache. His parents took him to Zhongshan Hospital in Langzhong City.Zhongshan Hospital is a local private hospital, which is in the stage of trial operation.Zhongshan Hospital warmly received Zhang Tao and his parents. After performing a CT scan on Zhang Tao, Vice President Li Shanqing told Zhang Tao's parents that Zhang Tao had a tumor in his brain and had to undergo brain surgery immediately.Zhang Tao's parents were surprised and felt that the surgery was a major one, so they planned to transfer it to a big hospital in the provincial capital.Zhang Tao's mother recalled that at that time, Li Shanqing told them very seriously that it was too late to transfer to another hospital. Afterwards, Zhongshan Hospital "grandly launched" Li Shanqing. They claimed that Li was a brain surgery expert who had just been hired from a hospital in Shenzhen. They also showed Zhang Tao's family some printed materials with Li's awe-inspiring title and resume.Their "hospital brief introduction" stated that "advanced equipment imported from the United States, Japan and Switzerland has been put into use", "with rich clinical experience in medical technology, and can perform various difficult operations and complex non-invasive surgery. Sexual examination and diagnosis", and also with "Shenzhen People's Hospital, Red Cross Hospital Preliminary Marriage".In this way, Li Shanqing decided to open Zhang Tao's head. All Zhang Tao's parents had to do was to prepay the operation fee of 8,000 yuan immediately. At 12 noon that day, Zhang Tao went to the operating table. After four and a half hours of "posterior cranial fossa craniotomy 'tumor' resection", Zhang Tao's cerebellum, which had no disease, left his body forever. Four days after the operation, Zhang Tao developed epilepsy and fell into a coma. On February 9, the inspection report of the Langzhong People's Hospital stated that no malignant tumor cell infiltration was found in the cerebellum tissue submitted for inspection... On February 14, the second medical examination report signed by the same doctor at the Langzhong People's Hospital stated that Said - (cerebellar) multilineage medulloblastoma.This was the basis for cobalt-60 radiotherapy on Zhang Tao later. According to the doctor who later made the opposite appraisal conclusion: "On February 14, the dean (referring to Li Shanqing) who ran away from Zhongshan Hospital and Chen XX (Zhongshan Hospital) Nurse) came to me, and Li said, 'It's clearly a tumor, but you said no!'... I wrote the identification report again without a re-examination." Zhang's father told reporters that he was a little suspicious of the two inconsistent reports at the time, but who would have thought that the doctor would do such a thing! According to Zhang Tao's family, at first, Li Shanqing comforted them and said: "The child is young, and recovery will take a long time." After the second medical examination report came out, Li Shanqing's tone changed: "Zhang Tao has nothing to look forward to..." Zhang Tao's mother burst into tears all day long. Li Shanqing said: "Yan'er (the last word of Zhang Tao's mother's name is Yan), you see my name is Shanqing, kind-hearted Shan...how could I lie to you? You are still so young, you can be born again!" Seventeen days later, Zhang Tao, who was in a coma and his limbs were paralyzed, was discharged from the hospital. At this time, he could barely open his eyes, but he couldn't see, let alone speak.He couldn't see his parents and grandparents who surrounded him all day and cried from time to time, let alone say a word of comfort to them. Three days after he was discharged from the hospital, another terrible disaster began—Zhang Tao began to receive radiotherapy.Zhang Tao's grandmother recalled with tears that Li Shanqing told her: "There are many cancers in Zhang Tao's head, like pepper (pepper) seeds. If they are not radiated, those cancers will grow as big as fingers every day, and Zhang Tao can only live for dozens of days." .If he received radiotherapy, Zhang Tao could still live for another five or six years.” After three radiation sessions, Zhang Tao stopped eating completely.Some people in Langzhong City People's Hospital also expressed doubts about Zhang Tao's "malignant tumor" and radiation therapy, so Zhang Tao's parents stopped taking Zhang Tao for radiation.They borrowed 25,000 yuan and planned to seek medical treatment in Chengdu. On April 1, the pathological examination report made by the First Affiliated Hospital of West China Medical University on the resected specimen from Zhongshan Hospital was positive and clear—no medulloblastosis was found in the tissue submitted for examination, and it was normal cerebellar tissue.It was later diagnosed that Zhang Tao suffered from a chronic abscess of the left cerebellar hemisphere. As an uncomplicated operation, the abscess was successfully removed. On April 20, Zhang Tao was discharged from the hospital with a permanent disability. Zhang Tao is an only child. After examination, Zhang Tao's mother also unconditionally gave birth again. Zhang Tao's misfortune almost caused them to have a nervous breakdown.On the day Zhang Tao was discharged from the hospital, Zhang Tao's father, who was overwhelmed with grief and indignation, made a long-distance call from Chengdu to Li Shanqing from Langzhong Zhongshan Hospital and told him to wait, "I'll go back and settle the score with you." Li "went away" on this day. On November 19, the "brain cutting and radiotherapy" case opened in the Langzhong People's Court.The compensation of 800,000 yuan proposed by the plaintiff was far from the 60,000 yuan claimed by the defendant, and the court's mediation was invalid.At present, the judgment of the first instance has not yet been issued.Zhang Tao's grandfather said that even if the family goes bankrupt, the lawsuit will continue.Poor little Zhang Tao is more carefree than other children of the same age because he lacks a brain, and walks a few steps unsteadily from time to time... My child, in your life, how can you stagger to the end like this? After New Year's Day in 1999, when Yang Xingbi, who survived the catastrophe, received the final judgment from the Chongqing No. 2 Intermediate People's Court, she couldn't help crying.Recalling the heart-wrenching scene of her small intestine being cut by mistake, Yang Xingbi shuddered all over, and that nightmare came back to him in a trance. The Legal Daily reported on March 9, 1999 that in early February 1997, 40-year-old Yang Xingbi from Kai County, Chongqing City found out that she was pregnant again.She came to the clinic run by Guan Jiaxian and Yang Shihai of the Zhongxing Township Health Center, and wanted to have an artificial abortion.Yang Shihai checked Yang Xingbi and thought that the only way to induce labor was to ask her to wait for a while.Yang Xingbi asked to do it now.So Yang Shihai gave Yang Xingbi an injection to induce labor, and then went to work on another operation.Yang Xingbi lay down on the bench in the clinic for a while and then went home.Two days later, when the fetus did not go to the ground, Yang's husband, Guo Gonghuai, asked Jiang Dexin, a barefoot doctor in the village, to give Yang another injection to induce labor.The fetus fell to the ground, but the placenta took a lot of work to get out. After the induction of labor, Yang Xingbi was relatively weak and suffered from heavy bleeding several times. On March 12, the patient suffered another hemorrhage and went into shock several times. On March 14, Guo Gonghuai went to the health center to look for Yang Shihai. The housekeeper asked Yang Shihai's female apprentice, Yang Qing, to bring some antidepressant plasma and palace cleaning equipment to Yang's house to have a look. After Yang Qing checked Yang Xingbi, she found that her uterus did not contract. She subjectively judged that there was a large remnant in it, and said, "It must be a deformity. It must be taken out." She used rusty iron scissors to cut off the dragged thing with a "click", Yang Xingbi cried out in pain. Yang Qing comforted and said: "It doesn't matter, there is still something inside, just hook it out." Yang Qing hooked out another section similar to what was cut off just now, without thinking, "click" another pair of scissors, Yang Xingbi was in dizzy pain, and went into shock past. Under such circumstances, Yang Xingbi's family immediately sent the dying Yang Xingbi to Kaixian People's Hospital. The doctors immediately performed a laparotomy and found that about 1,000 ml of blood had accumulated in Yang Xingbi's abdominal cavity. It was cut off, and there was a perforation about 4 cm long in the fundus of the uterus. After a whole night of intensive rescue, Yang Xingbi finally passed the critical period. In June 1997, the Medical Malpractice Appraisal Committee of Kai County issued a medical malpractice appraisal: Yang Qing scraped through Yang Xingbi's uterus during curettage, mistook the scraped out small intestine for the umbilical cord and removed it.Forensic identification: Yang Xingbi's severed small intestine is 5.3 meters long, more than 3/4 of the total length of the human small intestine, resulting in a very short stay of chyme after entering the small intestine, basically it is directly discharged.To sustain life, patients must often rely on intravenous-based drug therapy.The final conclusion is: Intestinal rupture, intestinal necrosis, secondary disability, and complete loss of working ability. What is infuriating is that after the case happened, no one came out to take responsibility—the Zhongxing Township Health Center said that Yang Qing was not an employee of the hospital, but a private apprentice of its employees, and had nothing to do with the hospital; Yang Qing thought: I am Yang Shihai My apprentice, I gave all the income from the operation to the master, so I should not bear the responsibility; Yang Shihai said: I was not at home when Yang Qing performed the Qing palace operation, and I was not the defendant in this case, so I should not bear the responsibility; It is my wife's apprentice and not mine. I only sent her to check it out. She is also not the defendant in this case, and she should not be held responsible. Yang Xingbi was dumbfounded: Could it be that my small intestine, which is more than 5 meters long, was cut for nothing like this, and there is no responsibility for it. Could it be that the responsibility lies with me?Fortunately, the law supported this weak woman. At the end of 1998, after a trial, the Chongqing Municipal Intermediate People's Court held that Yang Xingbi went to the Zhongxing Township Health Center in Kaixian County to see a doctor and formed a treatment relationship with the health center. The behavior and consequences of the medical staff in the health center should be borne by the health center. It was judged that Zhongxing Township Health Center should bear 68,669 yuan for Yang Xingbi's expenses. In many countries, the management of licensed doctors is very strict. Anyone who wants to practice medicine must obtain a license to practice medicine, otherwise he will practice medicine without a license and will be severely punished by the law. A profession in which human life is at stake.Surgeons, on the other hand, are the most rigorously assessed among all practicing physicians.In China at present, although there is a certain management system for medical personnel, it is ineffective in some places. Anyone can be a doctor, open a clinic, and even perform surgery. On December 29, 1998, Ren Yanbin, a reporter from China Youth Daily, reported a tragedy in which an anesthesiologist used a knife to cause a catastrophe—— On January 23, 1996, Ma Qingrong, a self-employed fruit wholesaler in Donghe District, Baotou City, Inner Mongolia, felt spasm and pain in his left calf, so he went to the outpatient clinic of Baotou Third Hospital.The diagnosis result was lumbar intervertebral disc herniation, and conservative treatment such as traction and massage failed. On February 9, Ma Qingrong was hospitalized and diagnosed with L3 and 4 intervertebral disc herniation again.The hospital decided to perform local anesthesia on Ma Qingrong on February 10, and performed L3 and 4 intervertebral disc nuclei pulpectomy. The operation was performed at 10 am on February 10.According to Ma Qingrong, the hospital did not have preoperative consultations and physical examinations, and did not perform routine preoperative laboratory tests such as blood type and hematuria. Moreover, there were no surgical instruments, which he rented out through the surgeon at his expense.Due to the local anesthesia used in the operation, Ma Qingrong was clear-headed from the beginning to the end.He said that after the operation began, Li Yingxiao, the attending doctor and deputy director of the Department of Osteomatology, made an incision and stepped aside, while Xu Fengming, the anesthetist, came on stage to perform the operation.More than 3 hours after the operation, Xu said he found the diseased part. He picked up the surgical forceps to clamp out the diseased nucleus pulposus, but the surgical forceps slipped off several times.At this time, Ma Qingrong felt heart-wrenching pains, and his clothes were soaked with sweat.Seeing that surgical forceps would not work, Xu picked up the hook knife and hooked it to Ma Qingrong's knife edge.The severe pain made Ma Qingrong almost bounce off the operating table.With this hook, Ma Qingrong felt as if he had received a strong electric shock, and his legs immediately lost consciousness.The anesthesiologist also accused Ma Qingrong of not restraining himself and not being able to bear the pain. Who will be responsible for the danger? Ma Qingrong was bleeding profusely. Li Yingxiao, who was sitting by the side, realized that if the operation continued, he would be fatal, so he hurriedly began to test blood types and look for blood.However, due to insufficient preparation before the operation, there was no blood to transfuse, and the only way was to stop the operation. After the operation, Ma Qingrong's left lower limb was weak and the incision did not heal for a long time due to "the anesthetist's operation and technical negligence caused Ma Qingrong's L4 nerve root sheath injury".After recovering for more than four months and still not getting better, the Third Hospital of Baotou hired experts from the Second Affiliated Hospital of Inner Mongolia to perform a second operation on Ma Qingrong in July 1996.After the operation, Ma Qingrong's condition remained the same. On January 28, 1997, Ma Qingrong, who was tortured by the illness, approached the Baotou Medical Malpractice Technical Appraisal Committee and asked for an appraisal.The appraisal committee determined that "there was no discussion record before the operation, the physical examination was not detailed, and the preoperative preparation was insufficient", "the anesthesiologist was wrong to perform the operation", etc., and concluded that it was a "Grade 3 Medical Technology Accident". In June 1997, Ma Qingrong filed a lawsuit with the People's Court of Donghe District, Baotou City, demanding that the Third Hospital of Baotou City compensate 13 items including medical expenses, lost wages, transportation expenses, and child support for minors, totaling more than 160,000 yuan. On September 24, 1997, the Donghe District Court of Baotou City ordered Baotou Third Hospital to pay Ma Qingrong a total of 39,514 yuan for medical expenses, legal inspection fees, economic compensation, and mental damage.Ma Qingrong appealed to the Baotou Intermediate People's Court on the grounds that "the original trial's determination of facts was wrong, the law was improperly used, and the judgment was unfair." On June 10, 1998, the Intermediate People's Court of Baotou opened a court session to retry the case. According to national and relevant local regulations, the second-instance judgment was made and the first-instance judgment was upheld. In addition, the third hospital compensated Ma Qingrong 10,000 yuan for future treatment.Ma Qingrong was still dissatisfied with the verdict: How could this mere tens of thousands of yuan make up for my lifelong suffering? An anesthesiologist is not allowed to make such jokes in the surgery where human life is at stake—life is not an experiment, and surgery is not kneading dough—you can make whatever you knead. Not long ago, the Fushun Municipal Health Bureau carried out surgery reforms, dividing various types of surgery into four grades A, B, C, and D according to the degree of difficulty of the operation, and stipulated that the most difficult grade A operation must be performed by the chief physician; Chief physicians and attending physicians can perform Category B, C, and D operations, and the deputy chief physician mainly performs Category B operations; doctors can only perform C and D operations, and assistant physicians are only allowed to perform Category D operations. China's first "Law of Practicing Physicians" came into effect on May 1, 1999, and I hope the above story is the last tragedy of fakes. A bloody and shocking operation accident made us shocked, saddened and angry! Any kind of operation is a very complex technical application process, which requires multi-disciplinary technical cooperation to complete. Therefore, no matter which link or a certain person in the technical cooperation body, as long as there is a slight mistake, the entire operation will be damaged. Treatment brings some kind of defect or even failure.Insufficient preoperative preparations, improper collocation of the surgical team, unsmooth anesthesia, incomplete disinfection of equipment and dressings, errors in blood transfusion, etc. will affect the progress of the operation or the effect of the operation, and even endanger the life of the patient.However, some medical staff can't do their job properly, their skills are not perfect enough, and misdiagnosis, mistreatment, miscutting, and random cutting are the key reasons for surgical accidents.Specifically in the following aspects: 1. Inadequate pre-operative examination and insufficient preparation.Although some patients have surgical indications, due to poor preoperative examination and insufficient preparation, they only pay attention to the local area, not the whole body, emphasizing the surgical aspect, but ignoring the systematic and comprehensive medical history inquiry and physical examination, so that they are exposed during the operation. A pre-existing medical condition whose presence was the cause of death of the patient during surgery.There was a female patient with thyroid tumor who needed surgery. When the skin of the neck was incised, it was found that the patient had cardiac arrest because no skin bleeding was found. Immediately rescue failed and died.After autopsy examination, it turned out that the patient had pneumonia at the same time.After reviewing the medical history and laboratory reports, the patient's body temperature reached 38 degrees 3 days before the operation, and the white blood cell count increased.At that time, doctors believed that patients with thyroid tumors sometimes had low-grade fever symptoms and did not pay attention to them. Auscultation and X-ray examination of the lungs were not performed. Yang, a retired childcare worker in Chengdu City, Sichuan Province, went to a hospital for surgery because of a fractured left elbow.But when the old man was pushed out of the operating room, he had fallen asleep and turned into a vegetative state.The old man has suffered from hypertension for many years, and hypertensive patients are strictly forbidden to use ketamine for anesthesia. The old man lying on the operating table also told the anesthetist Zhu that he had suffered from hypertension for many years, but Zhu still used ketamine, causing The old man suffered respiratory and cardiac arrest.Afterwards, the hospital mistakenly used respiratory stimulants when rescuing the old man. Coupled with insufficient preoperative preparations and insufficient oxygen in the operating room, when the oxygen was finally sent to the operating room and the old man's trachea was cut, the anesthesiologist In a hurry, the oxygen tube failed to be inserted into the old man's cut trachea twice.This series of mistakes made the brain cells of the old man hypoxic for too long, resulting in the loss of cerebral cortex function and becoming a vegetative state. 2. Rough operation.Surgical operation is a delicate and precise work, especially for tissues and organs with serious adhesions, it should be dissected, separated, ligated, and cut off steadily, accurately, and gently. Accidentally injuring other organs or tissues other than the surgical object, the most serious consequence is cutting important blood vessels.Some died due to hepatic artery accidental hemorrhage in cholecystectomy and pancreatic head cancer operation; There are those who accidentally injure the ureter during hysterectomy, resulting in urinary fistula and death due to uremia, and those who have uterine perforation during dilatation and curettage... On December 8, 1991, Wang Chuanyu, a factory worker in Sichuan, was admitted to the hospital.Subtotal gastrectomy is performed by one attending physician.After being discharged from the hospital, the patient developed heart failure, severe indigestion, and symptoms of eating and defecation. After being transferred to another hospital for expert consultation, and through a barium meal examination, it was found that the wrong intestine was connected in the first operation. The remnant stomach should have been anastomosed with the jejunum. This Dr. Ma Daha anastomosed the remnant stomach with the lower ileum.The order in which the human body absorbs nutrients is that food is imported into the stomach, from the stomach to the jejunum, and then to the ileum, and then excreted from the body through the ileum.Now the doctor connects the ileum to the stomach by mistake, causing the food to be discharged from the stomach directly to the ileum, which means that the human body cannot absorb the nutrients in the food at all. lead to severe failure of other organs.The patient's life was dying, and the hospital had to perform another operation to remove the sutured stomach and ileum and connect it to the jejunum.But a person is not a piece of clothing, so how can it withstand the toss of sewing and tearing.Soon after, the patient's condition deteriorated, and the treatment failed and he died. On November 4, 1992, 13-year-old Chen Zhifeng underwent heart surgery in a hospital in Fujian. During the operation, he accidentally caused a rupture in the peritoneum, resulting in massive bleeding in Chen's abdominal cavity after the operation. On November 7, the doctor conducted an exploratory laparotomy and extracted 1200 ml of bloody fluid from the abdominal cavity to treat the peritoneal tear.In the following 15 days, the child repeatedly experienced blood pressure drop, ventricular tachycardia, and ventricular fibrillation more than 160 times, which were temporarily controlled after rescue. Chen died a year after he was discharged from the hospital. There is something even more appalling than this: Huang Yuexiang, a peasant woman from Tongan Town, Yongtai County, Fujian Province, performed a simple forceps scraping operation to induce labor in a hospital, but due to an operation error, she scraped through her uterus.After the uterine perforation, it is reasonable to take repair surgery, but the doctor seemed unwilling to do this kind of repair, and simply removed her uterus completely.Unexpectedly, the hysterectomy was not counted, and the upper part of her right ureter was ruptured during the operation, so the hospital had to perform ureteroplasty for her.But this operation lasted more than 4 hours, but the ureter was still not found, so the "retroperitoneal perinephric drainage" had to be performed temporarily.After more than 20 days, Huang Yuexiang went to the operating table for the fourth time. This time, she cut the right kidney and tried to find the broken end of the ureter, but she still couldn't find it.The hospital "decisively" performed a right nephrectomy...a simple operation caused a peasant woman to lose three organs. casual.The strong and healthy peasant woman in the past now feels dizzy and short of breath when she moves a little bit, and she feels that life is worse than death. 3. The operating room system is not perfect.The operating room system is not perfect, the responsibilities of the instruments are not clear, the abdomen is sloppy, and the system is not strictly counted, so that foreign objects such as gauze, hemostatic forceps, scissors, intestinal compression plates, electrocoagulator heads, and intestinal towels are left behind after the operation. In the body cavity, the patient suffers great harm and pain.Such incidents have occurred frequently, which cannot but arouse the great attention of various medical units.In fact, this is another problem that is very easy to avoid. As long as we strictly implement the operating room system and operating procedures, all these tragedies will not happen.It is just that some hospitals only pay attention to the update of medical equipment and the introduction of medical technology, and often ignore the rules and regulations of the operating room, which is too simple but too important. As a result, many patients suffer great harm. harm.A large number of medical accidents now occur, precisely because of poor equipment or low technology, but in fact, they have a weak sense of responsibility and lax enforcement of rules and regulations.I hope that all medical institutions can learn from the above-mentioned medical accidents, and regard the soundness and implementation of operating room rules and regulations as the lifeline of medical work. 4. The observation of the condition after the operation is not strict.The success of the operation lies not only in the operation on the operating table, but also in careful observation and proper handling after the operation.However, some doctors think that the operation is done, and they do not pay attention to postoperative observation; some doctors are overconfident in their own operations, and think that patients are uncooperative, delicate, and family members are troubled by the feelings and discomfort reported by patients. And the feeling of impatience arises, without carefully considering whether it is related to the operation, just taking it for granted, thinking that it is other reasons, as a result, the situation that early treatment would not lead to serious consequences continues to worsen, and the opportunity for rescue is lost. In 1978, a 20-year-old youth named Lin Hua became paralyzed.He could have lived a healthy life like thousands of young people.He used to be the fifth place in the long-distance race around the city in Beijing, he was the center of the district-level basketball team, and he was the leader of the swimmer who crossed the Bayi Lake... Only because the doctor on night shift went to sleep after the operation, the blood flowed into the bone marrow, A very simple operation for a dural fibroma of the nerve center failed, and a perfectly fine man was permanently paralyzed.Although he later became a department leader of the Beijing Disabled Persons' Federation, an outside interpreter at the Academy of Military Sciences of the Chinese People's Liberation Army, and a world celebrity, his health was gone forever. A patient with chronic gastric ulcer underwent partial gastrectomy, the operation went smoothly, and the patient was sent back to the ward for observation after the operation.During the observation, the patient kept complaining of abdominal pain, bloating, and dizziness. The family members reported to the nurse again and again, but the nurse on duty did not pay attention. She did not go to inspect the patient, but only said that these symptoms were inevitable after waking up from the anesthetic. , it will be fine after a while.When the patient was pale, sweating profusely, and fainted, the patient was already in a state of shock.After examination by a doctor, he was diagnosed with massive intra-abdominal hemorrhage.Another laparotomy was performed, and it was found that the hemorrhagic shock was caused by the loosening of the ligated artery.The patient died due to excessive bleeding and it was too late to rescue.At that time, as long as the nurse patiently listened to the patient's complaint and reported it to the doctor in time, a life would not be so wasted. However, the nurse turned a blind eye to the patient's very important condition changes and remained indifferent.How can this kind of dereliction of duty by nurses not arouse the resentment of family members and the condemnation of relevant public opinion? Another 22-year-old female college student underwent surgery in a hospital for acute appendicitis.The patient developed severe abdominal pain 5 hours after the operation. He reported it to the doctor. It was considered a normal phenomenon after the operation and was ignored. However, the patient’s abdominal pain continued to intensify. When he found the director of the surgery department, he only did a general palpation. After 1 hour ，病人休克，另一主治医师检查病人，认为有腹膜炎，决定手术探查，发现整个小肠逆时针扭转3圈，肠管因坏死变黑，抢救无效而死亡。原来病人本来就有肠系膜过长的内在因素，又因阑尾手术的激惹，使肠管功能发生紊乱，致使肠扭转。但由于医师们盲目自信，一方面把术后5小时剧烈腹痛症状错误地认为无特殊临床意义，另一方面忽视了血压持续降低这一进入休克状态的原因探索，也不进一步做详细检查，如果观察仔细一点，怎么会酿成如此悲剧呢？因此，手术后观察病情变化十分重要，任何疏忽与放松均会造成前功尽弃，酿成苦果。 5、错开手术部位。与手术有关的医疗事故，还有错开手术部位，摘错器官等。 综上所述，手术是一项直接关系到人生命安危的工作，我们的医务人员必须认真认真再认真，仔细仔细再仔细。要知道，医务人员的任何一点疏忽和大意，都有可能给病人造成无法弥补的损失。 手术刀，两面光，掌握在认真负责的医务人员手里，是斩除病魔的利剑；而如果握在草营人命的医务人员手里，则有可能成为割断病人生命与健康的屠刀。在此，我们代替那些在手术刀下的受害者，呼吁所有的医务人员：小心握住你的手术刀！